电子病历作为居民健康档案的主要信息来源，是健全医疗信息化服务的关键所在。河南省作为电子病历首批 试点地区，目前其电子病历却发展缓慢，落后于我国医疗信息化的平均水平，因此构建一个完善的电子病历发展体系迫在眉 睫。本文通过对河南省五个市的部分公众和医院进行问卷调查、与河南省卫生厅主管人员进行访谈、听取留美博士的相关讲 座报告等方式对河南省电子病历建设现状进行调查研究，在此基础上分析当前河南省电子病历发展存在的问题。运用信息组 织与信息检索学的理论与方法，从管理和技术层面创新性地提出解决电子病历发展困境的建议。

As the main source of resident’s health records, Electronic Medical Records (EMR) is the key to improve health services. Henan province is the first batch of pilot areas. However, its EMR develops so slow that it has lagged behind the country’s average level. So it’s extremely urgent to build a complete EMR system to promote the development of EMR in Henan. This paper surveys the construction status of EMR based on the questionnaires from five cities in Henan, the interview of health department and the lecture of Dr. Hong. It analyzes the problems of EMR system and barriers of push. It applies theories and methods of information organization and information retrieval to put forward the suggestion on solving the development predicament of EMR from the management and technology levels.